Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $5.69 / $11.31	Facility		$4.29	$5.69	$11.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.33 / $5.90	Professional		$4.29	$4.33	$5.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $8.88 / $14.03	Facility		$4.29	$8.88	$14.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $5.76	Professional		$4.29	$4.29	$5.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.96 / $4.96	Professional		$4.29	$4.96	$4.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.05 / $4.29	Facility		$4.05	$4.05	$4.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Professional		$4.29	$4.29	$4.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.29 / $9.73	Professional		$3.65	$4.29	$9.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.59 / $8.24	Facility		$4.29	$4.59	$8.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $6.63 / $13.61	Professional		$3.00	$6.63	$13.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $5.19 / $8.66	Facility		$4.29	$5.19	$8.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.19 / $8.66	Professional		$4.29	$5.19	$8.66
United Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $20.10 / $20.10	Facility		$20.10	$20.10	$20.10
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.55	Professional		$4.29	$4.29	$4.55